Provider Demographics
NPI:1104913979
Name:HARDWICK, CLAUDIA (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:HARDWICK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 WILLAMETTE STREET
Mailing Address - Street 2:SUITE F
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3295
Mailing Address - Country:US
Mailing Address - Phone:541-953-0048
Mailing Address - Fax:541-736-8358
Practice Address - Street 1:3003 WILLAMETTE STREET
Practice Address - Street 2:SUITE F
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3295
Practice Address - Country:US
Practice Address - Phone:541-953-0048
Practice Address - Fax:541-736-8358
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0694103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical